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Ann Thorac Surg 2008;86:1569. doi:10.1016/j.athoracsur.2008.07.085
© 2008 The Society of Thoracic Surgeons

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Original Articles: Adult Cardiac

Invited Commentary

Rebecca Gottesman, MD, PhD, Charles W. Hogue, MD

The Johns Hopkins Hospital, 600 N Wolfe St, Tower 711, Baltimore, MD 21287

(Email: chogue2@jhmi.edu).

The first 20% of the full text of this article appears below.

Maekawa and colleagues [1] report the findings from a study of 247 patients who underwent brain diffusion-weighted magnetic resonance imaging (DWI) prior to elective cardiac surgery. The method of DWI is a sensitive way to detect acute brain ischemic injury and to distinguish new from chronic brain lesions. The findings of this study adds to a growing appreciation of the rising frequency of cerebral vascular disease and brain infarction in patients before cardiac surgery. Indeed multiple studies have shown the frequency of pre-existing cerebral infarcts to be as high as 45% in patients scheduled for cardiac surgery. In most instances, these lesions are clinically asymptomatic and thus they go undetected in the absence of brain . . . [Full Text of this Article]


Related Article

Abnormalities in the Brain Before Elective Cardiac Surgery Detected by Diffusion-Weighted Magnetic Resonance Imaging
Kengo Maekawa, Tomoko Goto, Tomoko Baba, Atsushi Yoshitake, Shoji Morishita, and Takaaki Koshiji
Ann. Thorac. Surg. 2008 86: 1563-1569. [Abstract] [Full Text] [PDF]






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